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Contact Information

MICHAEL W SHETLEY, ATC, CSCS
198 EVERGREEN AVE
APPOMATTOX, VA24522
 Phone: 804-539-5080
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for MICHAEL W SHETLEY · (Male)

NPI Number 1346594264
Status Active
Credentials ATC, CSCS
Entity Individual
Enumeration date 10/30/2012
Last updated 10/30/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • VA License # 0126000490
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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